- Practice location
- 11022 S 51ST St Ste 101, Phoenix, AZ 85044-1789
- Phone
- 708-308-0852
- Fax
- 480-383-6371
- Last updated
- September 9, 2019
Agave Therapeutics PLLC is a healthcare organization based in Phoenix, AZ. Agave Therapeutics PLLC practices in Phoenix, AZ. The NPI Number for Agave Therapeutics PLLC is 1215586664. The current practice location address for Agave Therapeutics PLLC is 11022 S 51ST St Ste 101, Phoenix, AZ 85044-1789 and can be reached out via phone at 708-308-0852 and via fax at 480-383-6371.
Provider Profile Details
- NPI Number
- 1215586664
- Provider Name
- Agave Therapeutics PLLC
- Provider Entity Type
- Organization
- Address
- 11022 S 51ST St Ste 101, Phoenix, AZ 85044-1789
- Phone Number
- 708-308-0852
- Fax Number
- 480-383-6371
- Primary Taxonomy
- Clinic/Center, Health Services · 261QH0100X
- Organization Subpart
- No
- Authorized Official
- Janet Kay Olson, NP · Nurse Practitioner · 708-308-0852
- Other Names
- Agave Therapeutics (Doing Business As)
- Provider Enumeration Date
- September 9, 2019
- Last Update Date
- September 9, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11022 S 51ST St Ste 101
Phoenix, AZ 85044-1789 - City
- Phoenix
- State
- Arizona
- Zip
- 85044-1789
- Phone Number
- 708-308-0852
- Fax Number
- 480-383-6371
Provider Business Mailing Address Details
- Address
- 11022 S 51ST St Ste 101
Phoenix, AZ 85044-1789 - City
- Phoenix
- State
- AZ
- Zip
- 85044-1789
- Phone Number
- 708-308-0852
- Fax Number
- 480-383-6371
License Information
- Taxonomy
- Clinic/Center, Health Services · 261QH0100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Health Services providers near Phoenix, AZ
View all Clinic/Center, Health Services providers in Phoenix →- Aba Wellness And Recovery LLCClinic/Center, Health Services · NPI 1366224024
- Active Kids Pediatrics, PCClinic/Center, Health Services · NPI 1629325378
- Mr. Victor Aire-Oaihimire, PA-CPhysician Assistant, Medical · NPI 1912158551
- Adrar Transit LLCNon-emergency Medical Transport (VAN) · NPI 1023916749
- Abundance HomesClinic/Center, Mental Health (Including Community Mental Health Center) · NPI 1508481854
- Advanced Wound Care Partners LLCNurse Practitioner, Family · NPI 1992620363
Frequently Asked Questions
What is the NPI number of Agave Therapeutics PLLC?
The NPI number of Agave Therapeutics PLLC is 1215586664. It was assigned on September 9, 2019 and is currently active in the NPPES registry.
What is the specialty of Agave Therapeutics PLLC?
Agave Therapeutics PLLC is registered under the primary taxonomy Clinic/Center, Health Services (code 261QH0100X).
Where does Agave Therapeutics PLLC practice?
The practice location is 11022 S 51ST St Ste 101, Phoenix, AZ 85044-1789. The office can be reached at 708-308-0852 (phone) or 480-383-6371 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215586664 directly on the NPPES registry website.